| NPI | 1528020450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4359) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R113923-9) |
| 364S00000X Clinical Nurse Specialist (Licence: MN 0348907-02) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-09-22 |